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Exploring the Efficacy of an Anger Management Programme for Veterans with Post-Traumatic Stress Disorder
2017
1. Abstract 1.1. Objective : This study
assessed the efficacy of a two-week residential treatment programme to support
anger difficulties in veterans diagnosed with PTSD. 1.2. Methods : 172
participants with a diagnosis of PTSD and co-morbid difficulties with anger
completed a standardised two-week residential treatment based upon cognitive
behaviour therapy and Dialectical Behaviour Therapy principles.The intervention
consisted of a mixture of group sessions and individual therapy.Participants
were asked to complete a range of health outcomes pre- and post-treatment and
three months later.85 participants (49.4%) were followed up three months after
treatment.Primary outcomes were measures of anger and aggression and secondary
outcomes included other mental health difficulties. 1.3. Results : No differences
in terms of baseline health outcomes and demographic characteristics were
evident between those followed up and participants lost to follow-up.Significant
reductions on the primary outcome measures of anger and aggressive behaviour
were observed post-treatment.Examination of mean scores on the DAR-5 suggested
anger difficulties was at sub-threshold levels following treatment.Significant,
but more modest reductions were observed for symptoms of PTSD, depression and
anxiety. Individuals who were unemployed, not in relationships or being defined
as being early service leavers from the military had poorer treatment outcomes.
In addition, higher rates of pre-treatment depression were associated with
lower treatment efficacy. 1.4. Conclusions : Whilst
limitations exist, findings from the study suggest cautious optimism for the
treatment of anger in veterans with co-morbid PTSD. 2. Keywords : Aggression; Anger; Ex-service Personnel; Mental Health; Military; Veterans
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